Information & Assistance Operations Associate in Princeton, NJ at Public Consulting Group

Date Posted: 6/22/2020

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    619 Alexander Road
    Princeton, NJ
  • Job Type:
  • Experience:
    At least 2 year(s)
  • Date Posted:
    6/22/2020

Job Description

Overview

Public Partnerships LLC, a subsidiary of Public Consulting Group supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care.

Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget.  We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services.

Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations.  We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve. (learn more at www.publicpartnerships.com).



Responsibilities

Responsibilities:  

  • Management of the NJ PPP Inquiry Email Bin
    • MCO Inquiries
    • State Inquiries
  • Escalations from PPL Staff to the State or MCO
    • Tracking all Escalations or Inquiries on a spreadsheet containing all required data points
    • Follow up with MCO or other party every 72 business hours until response is received
  • Incident Reporting
    • Oversight of the Fraud Reporting Support Ticket Bin
    • Reporting Fraud to the MCO/State as appropriate and Comptroller
    • Tracking response from external parties pertaining to fraud
  • Processing of recoupments due to fraud
    • Oversight of the Abuse Bin
    • Reporting of Abuse to the MCOs/State as appropriate
    • Tracking response from external parties pertaining to abuse
  • Oversight of MCO Liaison bins and reported participant updates
    • Development of daily update file per MCO for delta file creation
    • Tracking of change in portal through completion
  • Pend reporting of timesheets due to budget not finalized
    • Supplied to MCO once per pay period
  • Error file reporting
    • Daily, per MCO
  • Data quality trending
    • Capture escalations, issues owing to data issues such as budget amount, enrollment status, budget finalization
    • Create dashboard, per MCO and overall, of volume due to data issues
  • Use of email templates for communication with MCOs and other stakeholders
  • Attendance at weekly Case Discussion calls, pertaining to escalations related to data
    • Triage of issues to MCO
  • First “email” resolution
    • Submission of support tickets to appropriate functional area for timely resolution
      • Pend management
      • Timely filing lifts
      • Recoupments
  • Duplicate TRN research in collaboration with RCM
  • Weekly timesheet validation report and oversight
  • Select reports for supervisors


Qualifications

Required Skills

  • Ability to manage own schedule and work independently with minimal supervision.
  • Strong Microsoft Office applications and technical skills.
  • Commitment to exceptional client service.
  • Flexible self-starter, creative problem-solving ability.
  • Dedication to accomplishing goals and challenges presented by clients and management,
  • Ability to interact with various levels of management and clients.
  • Proven ability to take initiative to move daily work forward.
  • Able to follow, critically evaluate, and improve upon current processes.
  • Excellent oral and written communication skills.

Qualifications

Education     -   High School Diploma or GED, college degree preferred

Experience  - Minimum two years of experience in a professional office setting



EEO Statement

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability.  VEVRAA Federal Contractor.